Penny-wise and pound-foolish: the challenges of preoperative anaemia management
The timely correction of anaemia before major surgery is important for optimising perioperative patient outcomes. However, multiple barriers have precluded the global expansion of preoperative anaemia treatment programmes, including misconceptions about the true cost/benefit ratio for patient care a...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2023-08, Vol.131 (2), p.214-221 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Rozental, Olga Cushing, Melissa M. Shander, Aryeh Isbister, James P. Lasocki, Sigismond Meybohm, Patrick Muñoz, Manuel Spahn, Donat R. Weiniger, Carolyn F. Trentino, Kevin M. Girardi, Natalia I. |
| description | The timely correction of anaemia before major surgery is important for optimising perioperative patient outcomes. However, multiple barriers have precluded the global expansion of preoperative anaemia treatment programmes, including misconceptions about the true cost/benefit ratio for patient care and health system economics. Institutional investment and buy-in from stakeholders could lead to significant cost savings through avoided complications of anaemia and red blood cell transfusions, and through containment of direct and variable costs of blood bank laboratories. In some health systems, billing for iron infusions could generate revenue and promote growth of treatment programmes. The aim of this work is to galvanise integrated health systems worldwide to diagnose and treat anaemia before major surgery. |
| doi_str_mv | 10.1016/j.bja.2023.04.038 |
| format | Article |
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However, multiple barriers have precluded the global expansion of preoperative anaemia treatment programmes, including misconceptions about the true cost/benefit ratio for patient care and health system economics. Institutional investment and buy-in from stakeholders could lead to significant cost savings through avoided complications of anaemia and red blood cell transfusions, and through containment of direct and variable costs of blood bank laboratories. In some health systems, billing for iron infusions could generate revenue and promote growth of treatment programmes. The aim of this work is to galvanise integrated health systems worldwide to diagnose and treat anaemia before major surgery.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1016/j.bja.2023.04.038</identifier><identifier>PMID: 37244835</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>anaemia clinic ; Anemia - diagnosis ; Anemia - therapy ; Costs and Cost Analysis ; Erythrocyte Transfusion - adverse effects ; erythropoietin ; Humans ; Iron - therapeutic use ; iron deficiency ; iron therapy ; preoperative anaemia ; Preoperative Care ; red blood cell transfusion</subject><ispartof>British journal of anaesthesia : BJA, 2023-08, Vol.131 (2), p.214-221</ispartof><rights>2023 British Journal of Anaesthesia</rights><rights>Copyright © 2023 British Journal of Anaesthesia. Published by Elsevier Ltd. 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However, multiple barriers have precluded the global expansion of preoperative anaemia treatment programmes, including misconceptions about the true cost/benefit ratio for patient care and health system economics. Institutional investment and buy-in from stakeholders could lead to significant cost savings through avoided complications of anaemia and red blood cell transfusions, and through containment of direct and variable costs of blood bank laboratories. In some health systems, billing for iron infusions could generate revenue and promote growth of treatment programmes. The aim of this work is to galvanise integrated health systems worldwide to diagnose and treat anaemia before major surgery.</description><subject>anaemia clinic</subject><subject>Anemia - diagnosis</subject><subject>Anemia - therapy</subject><subject>Costs and Cost Analysis</subject><subject>Erythrocyte Transfusion - adverse effects</subject><subject>erythropoietin</subject><subject>Humans</subject><subject>Iron - therapeutic use</subject><subject>iron deficiency</subject><subject>iron therapy</subject><subject>preoperative anaemia</subject><subject>Preoperative Care</subject><subject>red blood cell transfusion</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAURi0EgvL4ASwoI0vCtfNwAhNCvKRKZYDZ8uOaukriYKcg_j2pWhiZfIfzHcmHkHMKGQVaXa0ytZIZA5ZnUGSQ13tkRgtO04pzuk9mAMBTaCg7IscxrgAoZ015SI5yzoqizssZWbxg33-nXy5iInuTDH7dm9R637q4vE7GJSZ6KdsW-3eMibfJENAPGOToPjcLiZ2TSTcd79hhP56SAyvbiGe794S8Pdy_3j2l88Xj893tPNV5mY-pglyiMdxyy3RpjWl4VSpaGACmNcjaGsVKLq2SyloLFcq6AVWwWjWKQpWfkMutdwj-Y41xFJ2LGttW9ujXUbCaTaqmYnRC6RbVwccY0IohuE6Gb0FBbDqKlZg6ik1HAYWYOk6bi51-rTo0f4vfcBNwswVw-uSnwyCidthrNC6gHoXx7h_9D25YhHI</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Rozental, Olga</creator><creator>Cushing, Melissa M.</creator><creator>Shander, Aryeh</creator><creator>Isbister, James P.</creator><creator>Lasocki, Sigismond</creator><creator>Meybohm, Patrick</creator><creator>Muñoz, Manuel</creator><creator>Spahn, Donat R.</creator><creator>Weiniger, Carolyn F.</creator><creator>Trentino, Kevin M.</creator><creator>Girardi, Natalia I.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8768-9263</orcidid><orcidid>https://orcid.org/0000-0002-2666-8696</orcidid><orcidid>https://orcid.org/0000-0003-1576-548X</orcidid><orcidid>https://orcid.org/0000-0002-4568-4149</orcidid><orcidid>https://orcid.org/0000-0001-8042-1494</orcidid><orcidid>https://orcid.org/0000-0002-0398-3298</orcidid><orcidid>https://orcid.org/0000-0003-2901-4628</orcidid></search><sort><creationdate>202308</creationdate><title>Penny-wise and pound-foolish: the challenges of preoperative anaemia management</title><author>Rozental, Olga ; 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| ispartof | British journal of anaesthesia : BJA, 2023-08, Vol.131 (2), p.214-221 |
| issn | 0007-0912 1471-6771 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | anaemia clinic Anemia - diagnosis Anemia - therapy Costs and Cost Analysis Erythrocyte Transfusion - adverse effects erythropoietin Humans Iron - therapeutic use iron deficiency iron therapy preoperative anaemia Preoperative Care red blood cell transfusion |
| title | Penny-wise and pound-foolish: the challenges of preoperative anaemia management |
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